I&#039;m here to help...

The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:

Protein First
Lots of Water
No Snacking
Daily Exercise

In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules.

If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules!

Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today:

Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife.

LivingAfterWLS Weekly Digest

The Four Rules: #3 No Snacking

When snacking hurts; When snacking helps

February 9, 2011

No Snacking. It is the rule that works.

Rule #3 - No Snacking

Excerpted with permission from Day 6: Beyond the 5 Day Pouch Test by Kaye Bailey

"Without a doubt, the "No Snacking" rule is the most divisive in the weight loss surgery community. In fact, I've received more angry letters on this topic than any other of the Four Rules. One school of thought is that snacking is absolutely forbidden. The other school swears that three meals plus two Snacks a day are essential for the nutritional survival of the weight loss surgery patient.

"I am not a doctor and I am not a nutritionist. But I work on the front lines with weight loss surgery patients every day, patients who are many years out from surgery; patients who have lost touch with their bariatric centers. What I do know for certain is this: patients who snack and who are not engaged in extreme athletics gain weight. There is a fine line between snacking intelligently and grazing and few, if any, of us have the self-control to toe the line. In my experience and in my opinion there is no reason for the average person post-WLS to ever engage in snacking. If we follow the I {heart} DIET we will not be hungry in the 4-6 hours between planned meals; there will not be a blood glucose emergency and there will not be a physiological need to snack.

"This may be a very unpopular stand for me to take. But I have spent the last six years working with my fellow weight loss surgery patients and in every case of weight regain snacking has been involved. And in most cases the initial instructions from the bariatric center were for the patient to eat every 3 to 4 hours and somewhere along the third year things went wrong. Snacking on Protein Bars or nuts became grazing on pretzels and crackers washed down with soda, coffee or tea. Slider foods overruled sensibility.

"No Snacking. It is the rule that works.

"Now, I'm obligated to tell you to follow the very specific instructions given you by your bariatric center. If they instructed you to have three meals a day and two Snacks a day that's fine: please do not feel I'm beating you up here. But please, go get your original notes and instructions. Review the list of approved snacks. Copy that list and post it on your refrigerator to keep your memory refreshed. The snacks your center permitted during the phase of weight loss are the only snacks you are allowed for the rest of your life if you want to maintain your weight loss.

"I personally feel the "NO Snacking" rule is a tremendous relief. For several years of my adult life, prior to surgery, I had a 40-minute commute to and from work each day. My morbidly obese irrational thinking had me convinced that I could not last that commute without a large soda and giant cookie: both morning and night. Looking back that was about 1,200 calories of snacking I was taking each day just to "survive" my commute. Twelve hundred calories is equal to our full day caloric allowance after surgery! How was it again, that I became morbidly obese? Hmmm. My car was always full of crumbs and the back seat littered with empty cups and cookie wrappers, not to mention the expense of my snacking habit. What a relief when "No Snacking" took that burden from me.

"One reason we are prone to break the "No Snacking" rule is because traditional snack foods are ever present in our society and they tend to set more comfortably in our stomach pouch than protein dense food. Have you found yourself able to eat an endless bag of crackers or chips yet struggle to get a few bites of roast chicken down? The crackers are soft and when consumed with liquid create slurry that never compacts in the pouch the way protein does. The cracker slurry slides right through in a steady stream: slider food (more on this in Part II: I {heart} DIET Basics). Solid protein, on the other hand, settles in the pouch like an unwelcome second cousin on your sofa and lingers just a little too long. So naturally we prefer to eat something that gives us comfort, not discomfort.

"But the fact is, the pouch when it is used correctly, is supposed to be a little bit uncomfortable. The discomfort is the signal to stop eating. When we are snacking on slider foods we do not get that signal and we do not stop eating."

LivingAfterWLS Weekly Digest

The Four Rules: #3 No Snacking

When snacking hurts; When snacking helps

February 9, 2011

Greetings!

I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat.

Happy 2011 - We are all in this together!

Kaye

KayeBailey@LivingAfterWLS.com

A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience!

Link to view the previously published Weekly Digests in our 2011 Four Rules Series:

Rule #1 - Protein First:

LivingAfterWLS Weekly Digest January 20, 2011

Rule #2 - Lots of Water

The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:

Protein First
Lots of Water
No Snacking
Daily Exercise

In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules.

If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules!

Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today:

Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife.

LivingAfterWLS Weekly Digest

The Four Rules: #3 No Snacking

When snacking hurts; When snacking helps

February 9, 2011

Greetings!

I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat.

Happy 2011 - We are all in this together!

Kaye

KayeBailey@LivingAfterWLS.com

A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience!

Link to view the previously published Weekly Digests in our 2011 Four Rules Series:

Rule #1 - Protein First:

LivingAfterWLS Weekly Digest January 20, 2011

Rule #2 - Lots of Water

The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:

Protein First
Lots of Water
No Snacking
Daily Exercise

In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules.

If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules!

Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today:

Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife.

LivingAfterWLS Weekly Digest

The Four Rules: #3 No Snacking

When snacking hurts; When snacking helps

February 9, 2011

Greetings!

I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat.

Happy 2011 - We are all in this together!

Kaye

KayeBailey@LivingAfterWLS.com

A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience!

Link to view the previously published Weekly Digests in our 2011 Four Rules Series:

Rule #1 - Protein First:

LivingAfterWLS Weekly Digest January 20, 2011

Rule #2 - Lots of Water

The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:

Protein First
Lots of Water
No Snacking
Daily Exercise

In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules.

If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules!

Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today:

Weight loss surgery is frequently perceived as an easy means to weight loss that requires little or no effort by the patient. However, patients who undergo bariatric surgery are prescribed Four Rules of dietary and lifestyle management that they will follow for the rest of their life if they wish to lose weight and maintain a healthy weight. Here is what you need to know about the Four Rules of weight loss surgery before going under the knife.

LivingAfterWLS Weekly Digest

The Four Rules: #3 No Snacking

When snacking hurts; When snacking helps

February 9, 2011

Greetings!

I hope this newsletter finds you warm and well this second week of February. Today we continue our discussion of the Four Rules - we are at Number 3: No Snacking. It's a tough one and I dare say most of will or have struggled with snacking following weight loss surgery. And, as you will see from the articles in this newsletter, not all bariatric centers follow the same Four Rules that include no snacking. But what is consistent, across the front lines of those of us living with weight loss surgery, is that out-of-control snacking on poorly chosen foods leads to a stall in weight loss and may possibly lead to weight gain. So please, take a look at the information here and revisit the information you were provided at the time of your surgery. Find your personal position on the "No Snacking" rule based on knowledge, experience, and environment -- it is the most empowering thing you can do for yourself in this ongoing battle of weight management in a world where it is much easier to be fat.

Happy 2011 - We are all in this together!

Kaye

KayeBailey@LivingAfterWLS.com

A Note: We have received the fourth printing of the LivingAfterWLS Neighborhood cookbook earlier than anticipated. We are processing backorders as quickly as possible - so look for yours in the next few days delivered by US Postal Service. Thanks for your patience!

Link to view the previously published Weekly Digests in our 2011 Four Rules Series:

Rule #1 - Protein First:

LivingAfterWLS Weekly Digest January 20, 2011

Rule #2 - Lots of Water

The Four Rules: Before surgery most of us were taught the Four Rules we must follow in order to achieve the best results with weight loss surgery - any procedure. Those rules (with minor variations from one bariatric surgeon to the next) are:

Protein First
Lots of Water
No Snacking
Daily Exercise

In order to maintain weight loss and keep the obesity from which we suffer in remission we must follow these rules for life. When we meet patients who have maintained a healthy body weight for several years with weight loss surgery we learn that in most cases they live by the Four Rules.

If it has been a while since you have given consideration to the Four Rules I invite you today to spend a little time refreshing your knowledge and enthusiasm about Protein First. Actually, this is my favorite rule because it means good food without the guilt! Link to the articles of interest and take a look at some of our great WLS recipes. There is something for everyone as we get excited again about the Four Rules!

Every now and again it serves us well to step back into our pre-op mindset when we were hell-bent on making surgery work to achieve weight loss and improve our health and quality of living. Take a look at this article with your pre-surgery eyes. I think it will help renew your enthusiasm for working "the tool" and living well today: